Mental Health Nursing Care Plan: Addressing Julian's Complex Needs

Desklib offers solved assignments and past papers. This report details a care plan for a patient with complex mental and physical health needs.

The Care Process in Mental Health Nursing
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Table of Contents
Needs Statement..........................................................................................................................................3
Goal Statement............................................................................................................................................3
Intervention Section....................................................................................................................................3
Evaluation Strategy.....................................................................................................................................6
Reference list...............................................................................................................................................8
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a) Discuss an evidence based plan of care demonstrating how the nurse is going to build a
therapeutic relationship with Julian providing a rationale for your strategy.
b) Consider within your answer a strategy of how you would intend to evaluate the
outcome of your interventions.
Needs Statement
Julian has been unable to cope up with the difficulties at home. He has been experiencing voices
and that making him increasingly paranoid. He is mentally unfit because he is getting wrapped
up in his own thoughts and assuming that someone has set a conspiracy to kill him. Previously he
used to suffer from schizophrenia as well. His hallucinations are the result of increased use of
cannabis. Other than mental health needs it has been noted that he has financial needs as well. He
is constantly bugged with the thoughts of managing the flat and has trouble clearing his debts.
Moreover, he also has physical health needs that require immediate intervention. He has been
diagnosed with type 2 diabetes and need an improved diet plan.
Goal Statement
As a mental health nurse for Julian, the current goal is to work in collaboration with him and
finding ways to make his discharge from the ward successful. It is important to address his
current mental and physical health needs which have resulted due to his past experiences. His
mother also used to suffer from mental health issues and was unable to look after him. In his
childhood he suffered from Dyslexia and at the age of 29, doctors discovered that he is suffering
from Schizophrenia. From his personal history various issues have come up that requires
intervention. A therapeutic relationship is to be formed as he has trouble in maintaining
relationship with the team at the ward. Moreover, his recent difficulties will be recognized and a
discharge planning will be made for Julian.
Intervention Section
Specific Measurable Attainable Relevant Time-bound
As a mental
health nurse, bio-
Appropriate
behavioral
I will accomplish
this goal by
This model will
help in providing
Within 3 months
3

psychosocial
model of
intervention will
be used
therapies will be
used and a
follow-through
treatment process
will be
incorporated.
putting emphasis
on the client’s
perspective and
preferences. A
collaborative
communication
style will be
adopted and the
patient will be
given the chance
of comparing his
treatment options
and then make
decisions.
holistic care to
the patient as
client will be
educated
regarding his
health needs,
self-management
will be
encouraged and
spiritual support
will be provided
at the ward
(Martin et al.,
2016).
Social skills
training will be
provided to
Julian
It will be
measured by the
team that
whether Julian is
able to recognize
faces, body
language of other
people and voice
tonality
Cognitive and
social deficits of
Julian will be
identified
The Social Skills
Training (SST)
will be useful for
Julian because
acquiring this
skill will help in
not only
improving his
social skills but
also lead to
better functional
outcomes
(Granholm et al.,
2016)
Within 3 months
Family psycho-
education will be
provided
The family
members will be
able to develop
This intervention
strategy will help
in improving
Within 2 months
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coping skills
while dealing
with Julian.
Moreover they
can provide
emotional
support to the
patient (Harvey ,
2018)
medication
follow-through
of the client
(Hagen et al.,
2017)
Employment
support will be
provided
Since Julian has
been troubled by
his financial
issues, he will be
provided with
job opportunities
as soon as he
gets discharged
from the ward
He will be
provided a
helping him in
searching and
obtaining the job.
Job
Appointments
and contacts will
be made
Attaining a job
will help him in
creating his
identity in the
society all over
again and he will
be able to clear
his debts
Within 3 months
after getting
discharged from
ward
Chronic care
model will be
developed
because the
client is also
suffering from
type 2 diabetes
This model will
be helpful in
making healthier
lifestyle choices
like daily
exercise, healthy
eating habits
Glucose levels
will be
controlled, self-
management will
be possible along
with life-long
satisfaction
By applying this
model the client
will be able to
prevent his
diabetes
complications
2 months
Being Available The patient will
appreciate the
time that has
been spent with
him
This goal is quite
attainable as
patient will
disclose his past
experiences and
much bonding
As a nurse it is a
necessity to be
present and
invest time to
deal with such
patients
During the
client’s stay at
the care setting
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will be made (Townsend et al.,
2017)
Evaluation Strategy
In this section, certain evaluation strategies will be mentioned that might help in identifying the
strengths and weaknesses of own performance while providing intervention to Julian who has
been suffering from mental and physical health disorders. The step-by-step strategies has been
outlined below-
 Listening to other’s experiences- Self-reflection is essential in the nursing profession
especially in case of mental health nurses (Pires et al., 2016). Discussions with peer
groups as in this case, the other experts in the healthcare team will help in relating their
experiences with own experience (Dahlqvist et al., 2015). In case of Julian, while treating
him using the bio-psychosocial model it can be measured whether or not he is getting
holistic care by noticing his areas of improvement and discussing with the team own
proficiency levels.
 Assessment – This will be done by interviewing the family members of the client as in
this case Julian’s sister Sonia. The involvement of the family members will be observed
and patients records can also be recorded to know how educating the family member
helped in recovery of the patient (Happell et al., 2017)
 Identifying Client’s capabilities- Only devising an intervention strategy will not be
enough. It is to be identified whether the client is able to acquire social skills training or
whether he will be able to work even after getting employment opportunities.
 Performance feedback – This will be acquired from senior managers or other experts.
Both positive and negative feedbacks will be handled effectively. Constructive criticisms
from seniors can be useful often to identify gaps in own performance (Brown, 2015).
Positive feedback can help in increasing motivation levels in own clinical practice. It is
important to consider the fact that nurses need to act safely when in crisis or emergency
situations (Speers and Lathlean, 2015). As observed in case of Julian, he was detained
under the MHA Act several times due to his inappropriate behavior in public places. This
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might happen again and as a nurse it is crucial to manage these kinds of situations
carefully or else take advice from the experts if doubt surfaces by any chance.
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